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Brian Cole, MD, MBA, (Chicago, IL) provides an in-depth scientific review of osteochondral allograft transplantation procedures. Osteochondral allografts have been used for many years with reported patient satisfaction rates over 90% (Bugbee W. et al. The Journal of Knee Surgery 2012). This procedure should be considered for patients with a substantial cartilage defect when looking for a restorative procedure. Osteochondral allografts are provided with a high degree of chondrocyte viability from Arthrex alliance tissue banks.